Organization
PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL ILENE JACKSON (PRACTICE MANAGER)
(505) 327-4429
Entity
Organization
Contact information
Practice address
2300 E 30TH ST BLDG D-102, FARMINGTON, NM 87401-8991
(505) 327-4429
(505) 327-4420
Mailing address
2300 E 30TH ST, BLDG D-102, FARMINGTON, NM 87401-8990
(505) 327-4429
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
04/14/2025
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